JOURNEY REVEALED (NPI# 1427301092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427301092 |
Entity Type | Organization |
Organization Name | JOURNEY REVEALED |
Practice Address |
1700 First Baxter Xing Suite 204 Fort Mill SC 29708-8948 |
Mailing Address |
44429 Oriole Dr Unit 101 Indian Land SC 29707-5947 |
Practice Telephone | 8034310734 |
Enumeration Date | 2012-10-19 |
Last Update Date | 2012-10-19 |
Authorized Official Name | LAURI MAZE-DAVIS (MANAGER) |
Authorized Official Telephone | 8034310734 |
Authorized Official Credential | APRN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1700 FIRST BAXTER XING SUITE 204 |
City | FORT MILL |
State | SC |
Zip Code | 29708-8948 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366412033 | Rebecca L Smith | Dermatology | 1700 First Baxter Xing, Ste 101, Fort Mill, SC 29708-8919 | 2006-01-25 |
1134641855 | Inner Resources Therapy LLC | Social Worker | 1700 First Baxter Xing, Fort Mill, SC 29708-8948 | 2017-07-14 |
1770997272 | Jane E. Liotta, Lpc, LLC | Counselor | 1700 First Baxter Xing, Suite 204, Fort Mill, SC 29708-8948 | 2014-06-12 |
1982958138 | Sound Advice Hearing Center LLC | Hearing Instrument Specialist | 1700 First Baxter Xing, Ste 103, Fort Mill, SC 29708-8948 | 2012-11-08 |
1598020513 | Kim Engel-hughes, Lpc, LLC | Counselor | 1700 First Baxter Xing, Suite 204, Fort Mill, SC 29708-8948 | 2012-07-05 |
1053687434 | John B Davis | Hearing Instrument Specialist | 1700 First Baxter Xing, Suite 103, Fort Mill, SC 29708-8948 | 2012-03-29 |
1568625515 | Jeffrey Bradford Mokris | Dentist | 1700 First Baxter Xing, Suite 201, Fort Mill, SC 29708-8948 | 2008-07-09 |
1528189156 | Jane Liotta | Counselor | 1700 First Baxter Xing, Suite 204, Fort Mill, SC 29708-8948 | 2007-04-02 |
1053334045 | Fort Mill Dermatology, LLC | Dermatology | 1700 First Baxter Xing, Ste 101, Fort Mill, SC 29708-8919 | 2006-07-25 |
1295778728 | Donita Patricia Holmes | Social Worker | 1700 First Baxter Xing, Ste 204, Fort Mill, SC 29708-8948 | 2006-06-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
Find all providers in zip 29708 |
Taxonomy Code | 364SP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831491331 | Lauri Maze-davis | Clinical Nurse Specialist | 130 Ben Casey Drive, Ste 102, Fort Mill, SC 29708-6567 | 2010-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033211321 | Leslie R Justice | Clinical Nurse Specialist | 1278 North Lafayette Drive, Sumter, SC 29150-2964 | 2006-09-05 |
1407234909 | Bernice Kennedy | Clinical Nurse Specialist | 18 Barnette Dr, Sumter, SC 29150-8004 | 2015-05-15 |
1255722633 | Catherine M. Etori | Clinical Nurse Specialist | 701 Cashua Ferry Rd, Darlington, SC 29532-8488 | 2015-02-06 |
1346451069 | Therese Kathleen Killeen | Clinical Nurse Specialist | 125 Doughty St, Suite 190, Charleston, SC 29403-5736 | 2007-05-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.